Restorative Skills Activities of Daily Living (ADL) Restoration 2 — Questions and Answers
Question 1: Which of the following adaptive devices assists a resident with limited hip flexion to put on socks and shoes independently?
- Long-handled sock aid and shoehorn (Correct answer)
- Elastic waistband pants
- Velcro shoe closures only
- Rocker knife
Correct answer: Long-handled sock aid and shoehorn
A long-handled sock aid and shoehorn allow residents to dress their feet without bending far forward, compensating for limited hip flexion.
Question 2: What is 'cueing' in the context of restorative ADL training?
- Verbal, visual, or physical prompts that remind the resident to initiate or continue a task (Correct answer)
- Writing care notes in the resident's chart
- Demonstrating a skill for the resident to watch
- Providing hands-on assistance for the entire task
Correct answer: Verbal, visual, or physical prompts that remind the resident to initiate or continue a task
Cueing involves prompts that help the resident remember or initiate steps in a task, supporting independence without taking over the activity.
Question 3: A resident can dress their upper body independently but needs assistance with lower body dressing. How should the MDS coding reflect this?
- Upper and lower body dressing are coded separately based on actual assistance received (Correct answer)
- Only the most dependent task is coded for all dressing
- Dressing is coded as independent if any part is done independently
- Both are coded as total dependence since some help is required
Correct answer: Upper and lower body dressing are coded separately based on actual assistance received
The MDS separately captures upper and lower body dressing assistance levels because a resident may have very different abilities for each.
Question 4: Which positioning device helps prevent pressure injuries while also supporting a resident in bed to perform upper extremity ADL tasks?
- Overbed (trapeze) table (Correct answer)
- Foot board
- Bed rail padded cover
- IV pole
Correct answer: Overbed (trapeze) table
An overbed table positions items within reach so the resident can participate in self-care activities such as grooming and eating while in bed.
Question 5: When is a resident considered 'totally dependent' in an ADL per MDS guidelines?
- Staff perform the activity for the resident with no participation from the resident (Correct answer)
- The resident performs less than 50% of the task
- The resident requires any physical guidance
- The resident needs verbal reminders for every step
Correct answer: Staff perform the activity for the resident with no participation from the resident
MDS defines total dependence as staff performing the entire activity without any active participation from the resident.
Question 6: Which adaptive strategy promotes oral hygiene independence for a resident with moderate hand tremors?
- Electric toothbrush with a weighted handle (Correct answer)
- Standard toothbrush only
- Staff brushing the resident's teeth completely
- Rinsing with mouthwash as the only hygiene intervention
Correct answer: Electric toothbrush with a weighted handle
An electric toothbrush reduces the need for fine motor control, while a weighted handle dampens tremors, supporting the resident's independent oral care.
Restorative Skills Activities of Daily Living (ADL) Restoration 2
Which of the following adaptive devices assists a resident with limited hip flexion to put on socks and shoes independently?